------------------------------------------------------------------ Mr.Ed V1.01 registration form ------------------------------------------------------------------ Please fill in the needed information and send this form to Via mail: Matthias Pfersdorff Marie-Alexandrastr. 3 D-76135 Karlsruhe Germany Via E-Mail: matz@karlsruhe.netsurf.de ------------------------------------------------------------------ Please fill in your name and address: __________________________________________________ __________________________________________________ __________________________________________________ __________________________________________________ E-Mail : ___________________________ I have payed the registration fee (40.- Deutsche Mark) ( ) via Bank Transfer to Volksbank Karlsruhe (use only from inside Account 76 778 6 Germany) BLZ 661 900 00 ( ) Euro-/Verrechnungsscheck ( ) cash ________________ _____________________________ date signature comments and suggestions: ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________